People who have little or no decision-making ability at work and who report a high degree of job stress are at increased risk of suffering an early heart attack, according to Swedish researchers. The findings may be particularly applicable to people who have been "down-sized" in their careers, since the study found that many heart attacks occur within just a few years of a negative job change, such as a demotion or decrease in career status.

American Journal of Public Health March 1998;88:382-388